Nurs 220 (Nutrition) CoursePoint Chapter 8

The nurse instructs a client on nutrient dense foods. Which selection indicates that teaching has been effective? 1) Pickles 2) Raisins 3) Green salad 4) Mashed potatoes

Green salad

A client with lactose intolerance asks for assistance selecting an eating plan that will help with weight reduction. Which eating pattern should the nurse recommend to this client? 1) US-style 2) Healthy Vegetarian 3) Healthy Carbohydrate 4) Healthy Mediterranean-Style

Healthy Mediterranean-Style

Unless a person has participated in a nutrient requirement study, it is impossible to quantify exact nutrient requirements for an individual. True or false?

true

A student asks for an explanation of MyPlate. Which of the following response by the nurse would be CORRECT? Select all that apply. 1) "MyPlate is a graphic of a place setting with a quarter of the plate devoted to fruits and vegetables." 2) "MyPlate is a graphic of a place setting with half of the plate devoted to protein." 3) "MyPlate is a graphic of a place setting with a quarter of the plate devoted to grains." 4) "MyPlate is the philosophy that nutrient needs should be met through food as much as possible." 5) "MyPlate is an approach that covers all aspects of the diet."

1) "MyPlate is a graphic of a place setting with a quarter of the plate devoted to grains." 2) "MyPlate is the philosophy that nutrient needs should be met through food as much as possible." 3) "MyPlate is an approach that covers all aspects of the diet."

The following are CORRECT statements related to empty calories: Select all that apply. 1) Empty calories are items with solid fats and/or added sugars that provide calories with few or no nutrients. 2) Sometimes all the calories in an item are empty calories such as diet soft drinks. 3) Sometimes only some of the total calories are considered empty, such as calories from added sugar in sweetened yogurt. 4) Some empty calories are allowable if the bulk of the day's food choices are of nutrient-dense foods. 5) Approximately 25% of typical calorie intake in the United States is from empty calories.

1) Empty calories are items with solid fats and/or added sugars that provide calories with few or no nutrients. 2) Sometimes only some of the total calories are considered empty, such as calories from added sugar in sweetened yogurt. 3) Some empty calories are allowable if the bulk of the day's food choices are of nutrient-dense foods.

According to the 2015-2020 Dietary Guidelines for Americans, Americans who eat a healthful diet do which of the following? Select all that apply. 1) eat a variety of nutrient-dense foods within and across food groups include refined grains and saturated fats in the diet 2) limit alcohol to 3 drinks per day 3) drink low-fat or fat-free milk and milk products 4) balance calorie intake with calorie needs

1) eat a variety of nutrient-dense foods within and across food groups 2) drink low-fat or fat-free milk and milk products 3) balance calorie intake with calorie needs

Drinking alcohol in moderation means how many drinks per day for men?

2

2015-2020 Dietary Guidelines for Americans has how many overarching guidelines?

42

Number of servings is not the same as number of portions. MyPlate has eliminated the quantity confusion by specifying which of the following total amounts per day in a 2,000-calorie daily food plan? 1) 6 oz. of grains 2) 4 cups of vegetables 3) 2 cups of dairy 4) 1 cup of fruit

6 oz. of grains

A client reports eating nutrient dense foods the majority of the time. Which food item should the nurse recommend that the client increase the intake? 1) Bacon 2) Brown rice 3) Mushroom soup 4) Canned peaches

Brown rice

Which of the following is a CORRECT statement of 2015-2020 Dietary Guidelines for Americans objectives related to food and nutrient consumption? 1) Decrease the contribution of whole grains to the overall diet 2) Increase consumption of calories from solid fats 3) Increase consumption of saturated fat 4) Choose eating a whole fruit more often

Choose eating a whole fruit more often

A client asks if there are any specific limits that should be practiced when adhering to the Dietary Guidelines. What should the nurse respond to this client? 1) Consume less than 1500 mg of sodium 2) Consume less than 10% of calories from added sugars 3) Consume less than 30% of calories from saturated fats 4) Consume less than 30% of calories from carbohydrates

Consume less than 10% of calories from added sugars

A client asks for dietary suggestions to reduce the risk of developing cancer. What should the nurse recommend to this client? 1) Increase the intake of lamb 2) Eat a variety of fruits and vegetables 3) Increase the intake of energy-dense foods 4) Achieve a body mass index of underweight

Eat a variety of fruits and vegetables

A client desires to follow the Healthy Vegetarian eating pattern but does not consume eggs. What should the nurse recommend to this client? 1) Increase the intake of meat 2) Add poultry several times a week 3) Increase the intake of soy products 4) Reduce the amount of nuts and seeds

Increase the intake of soy products

While teaching about the Recommended Dietary Allowances (RDAs), the nurse has included which of the following points in the discussion? 1) RDAs are the same as dietary reference intakes. 2) RDAs represent requirements for macronutrients only. 3) RDAs recommendations apply to people with chronic diseases. 4) RDAs are appropriate for healthy individuals in all age groups.

RDAs are appropriate for healthy individuals in all age groups.

One strategy for including empty calories into a healthy diet is to eat them: before 6 p.m. at 8% to 19% of total calories. at 24% of total calories. once daily after the noon meal.

at 8% to 19% of total calories.

A client from England asks the nurse about Great Britain's food guide. Which of the following is the CORRECT response by the nurse? 1) "The 'eatwell plate' shows how much of what you eat should come from each food group." 2) "Choose refined grain varieties whenever possible." 3) "Base your meals on protein foods." 4) "Try to eat less salt—no more than 8 grams per day."

"The 'eatwell plate' shows how much of what you eat should come from each food group."

The American Heart Association and the American Institute for Cancer Research Diet and Guidelines for Cancer Prevention recommend that a client should be physically active for how many minutes each day?

30

The nurse prepares dietary teaching for a client. What percentage of calories should the nurse identify as being from carbohydrate sources? 1) 5-10% 2) 10-35% 3) 20-35% 4) 45-65%

45-65%

The nurse confirms that the client understands the concept of nutrient-dense foods because the client has included which of the following in his daily intake? 1) whole milk 2) lean meat 3) fast food 4) baked goods

lean meat

The Acceptable Macronutrient Distribution Ranges (AMDRs) are broad ranges for each energy nutrient. Which of the following is the CORRECT percentage of AMDRs for adults? 1) carbohydrate 20-35% 2) protein 10-35% 3) fat 5-10% 4) lenoleic acid 0.6-1.2%

protein 10-35%

2015-2020 Dietary Guidelines for Americans aims to have people focus on the quality of food intake as a whole rather than in individual food groups. True or false?

true

The AIs are similar to the RDA, but with the AI, it is not known what percentage of people are meeting nutritional needs. True or false?

true

The Estimated Energy Requirements (EERs) provide guidance for clients who want to maintain a healthy weight. True or false?

true

A client asks the nurse how to develop a healthy eating plan. Which of the following is the nurse's BEST response? 1) " Select an eating pattern that meets nutrient needs over time." 2) "Exercise for at least 20 minutes three times per week." 3) "Consume at least 2,800 calories per day." 4) "Account for all foods consumed except beverages."

" Select an eating pattern that meets nutrient needs over time."

The nurse is seeing a client who wants to know whether consuming empty calories will lead to a weight gain. Which of the following responses by the nurse would be CORRECT? 1) "An allowance for empty calories allows an individual to consume small amounts of empty calories in the daily eating plan without gaining weight." 2) "Consuming empty calories, in any amount, will lead to a weight gain." 3) "Consuming even a small amount of empty calories prevents the individual from meeting nutrient needs and leads to weight gain." 4) "If you have not gained weight by now, you will not gain weight from empty calories."

"An allowance for empty calories allows an individual to consume small amounts of empty calories in the daily eating plan without gaining weight."

A client asks how to avoid consuming empty calories. Which of the following is the nurse's BEST response? 1) "Empty calories do not need to be limited and may be consumed at any time of the day." 2) "Avoid foods that have sugar listed in the first few ingredients." 3) "Eliminate carbohydrates from the diet completely." 4) "Drink an 8-ounce glass of juice or water with every meal, once between meals, and before going to bed."

"Avoid foods that have sugar listed in the first few ingredients."

A client asks about exercise and amounts of fats, sugars, and sodium for a 2,000-calorie daily food plan. The nurse's BEST response is: 1) "Be physically active for at least 30 minutes most days of the week." 2) "Your allowance for oils is 9 teaspoons per day.." 3) "Limit calories from solid fats and added sugars to 320 calories a day.." 4) "Reduce sodium intake to less than 4000 mg a day."

"Be physically active for at least 30 minutes most days of the week."

A client reports adopting the Healthy US style eating plan recommended by the Dietary Guidelines for Americans. What response should the nurse make to this client? 1) "This is the best eating plan for ill Americans." 2) "Consider adding more foods fortified with vitamin D.' 3) "This eating plan includes too much protein from meat." 4) "Consider reducing the amount of poultry you consume."

"Consider adding more foods fortified with vitamin D.'

The nurse is discussing nutrition reference values in class. Which of the following is a CORRECT statement made by the nurse? 1) "EAR is the nutrient intake estimated to meet the requirement of half of the healthy individuals in a particular life stage and gender group." 2) "UL is an intake level known to meet the nutrient requirements of all individuals." 3) "AI is the highest average daily intake level of a nutrient likely to pose no danger to individuals." 4) "RDA is a set of four nutrient-based reference values used to plan and evaluate diets for individuals with chronic illnesses"

"EAR is the nutrient intake estimated to meet the requirement of half of the healthy individuals in a particular life stage and gender group."

A client wants to maintain her current weight with a healthy eating pattern. The nurse uses the 2015-2020 Dietary Guidelines for Americans to make which of the following recommendations? 1) "Eat a variety of vegetables, especially dark green vegetables, red and orange vegetables" 2) "Consume at least two-thirds of all grains as refined grains." 3) "Limit the variety of protein foods to lean red meat, poultry, and eggs." 4) "Increase protein foods higher in solid fats."

"Eat a variety of vegetables, especially dark green vegetables, red and orange vegetables"

The nurse has provided a client awith education about healthy eating guidelines. The nurse knows that the client understands when she states which of the following? 1) "I can refer to the 2015-2020 Dietary Guidelines for Americans for nutrition and weight benchmarks" 2) "The most prominent tool to help me make wise nutritional decisions is the American Dietetic Association." 3) "MyPlate and the American Heart Association work in conjunction to prevent chronic diseases." 4) "Under the jurisdiction of the Dietary Guidelines for Americans, Healthy People focuses on helping all Americans obtain a BMI of 24."

"I can refer to the 2015-2020 Dietary Guidelines for Americans for nutrition and weight benchmarks"

The nurse has been teaching a patient with cancer about the food recommendations specific to the American Cancer Society Guidelines for Nutrition and Physical Activity for Cancer Prevention. The nurse knows that the client needs more teaching when the client makes which of the following statements? 1) "I should eat a variety of foods with an emphasis on plant sources." 2) "I will choose foods and beverages in amounts that help me achieve and maintain a healthy weight." 3) "I will increase my consumption of red meats." 4) "I will eat at least 2 1/2 cups of vegetables and fruits each day."

"I will increase my consumption of red meats."

The nurse correctly provides a summary of the 2015-2020 Dietary Guidelines for Americans with which of the following statements? 1) "Make half of your plate proteins." 2) "Make at least two thirds of your grains refined grains." 3) "Drink whole milk fortified with vitamin D." 4) "Make high quality choices, within the right calorie limit."

"Make high quality choices, within the right calorie limit."

The student asks the nurse to explain the role of nutrient reference values when planning eating patterns. Which of the following is a BEST response by the nurse? 1) "The Dietary Reference Intakes (DRIs) include vitamins, minerals, the energy nutrients, cholesterol, fiber, electrolytes, and water." 2) "The Recommended Dietary Allowances (RDAs) were originally developed to recommend nutrients set at a level to protect people from overeating." 3) "All nutrients have an RDA, AI, and/or EER." 4) "Each reference value is viewed as an average over a period of 30 days."

"The Dietary Reference Intakes (DRIs) include vitamins, minerals, the energy nutrients, cholesterol, fiber, electrolytes, and water."

A client asks the nurse to explain about the Daily Checklist calorie level. Which of the following responses by the nurse would be CORRECT? 1) "The specific Daily Checklist recommended for an individual is an estimate of how many calories a person of similar age and average height and weight needs to maintain an appropriate weight." 2) "The Daily Checklist recommended for an individual is an exact individual requirement." 3) "Even if a person has a BMI under 18.5 or over 24.9, the Daily Checklist is an accurate indication of the number of calories a person needs to maintain an appropriate weight." 4) "If the individual follows the specific Daily Checklist, the BMI will eventually fall under the normal value."

"The specific Daily Checklist recommended for an individual is an estimate of how many calories a person of similar age and average height and weight needs to maintain an appropriate weight."

Drinking alcohol in moderation means how many drinks per day for women?

1

When describing the overall goals of Dietary Guidelines for Americans to a client who wants to make changes in his eating pattern, which of the following is the best way for the nurse to describe this initiative? 1) It is an initiative aimed at improving the health of people with chronic disease. 2) It is an initiative aimed at helping people chose fat-free options most. 3) It is an initiative aimed at helping people make higher quality food choices. 4) It is an initiative aimed at maximizing health disparities among Americans.

It is an initiative aimed at helping people make higher quality food choices.

The nurse prepares an educational program on ways to reduce the risk of cardiovascular disease for participants in a community health fair. What should the nurse emphasize during this program? 1) Limit the consumption of processed meat 2) Limit unsaturated fat to 5-6% of total calories 3) Reduce the percentage of calories from carbohydrates 4) Reduce sodium intake to 1500 mg/day to control blood pressure

Reduce sodium intake to 1500 mg/day to control blood pressure

A client has a BMI of 35 and wants to lose weight. Which of the following recommendations from the 2015-2020 Dietary Guidelines for Americans should the nurse make to this client in order to support his weight loss success? 1) Keep polyunsaturated fat consumption as low as possible. 2) Increase intake of foods such as partially hydrogenated oils. 3) Reduce the intake of calories from solid fats. 4) Increase foods that contain refined grains.

Reduce the intake of calories from solid fats.